JUVENILE SCOLIOSIS

Children with mild scoliosis, a curve of the spine of less than 25 degrees, are typically monitored at regular doctor visits to ensure the curve does not get worse. Children with moderate scoliosis, a curve of the spine between 25 to 45 degrees, are typically treated with bracing. When children have a curve of the spine of more than 45 degrees, doctors will recommend surgery.

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If your child needs surgery or casting, our Fracture Care Clinic opens every day and you do not need an appointment. Surgery rooms get scheduled every morning, so your child receives the care and attention they need right away.

Juvenile Scoliosis

Juvenile scoliosis is a condition that affects the spine, causing it to curve to one side. This condition is more common in children and adolescents, and it can cause discomfort, pain, and other issues. There are various causes and types of juvenile scoliosis, as well as symptoms, diagnostic methods, treatments, and prevention measures.

Causes and Types of Juvenile Scoliosis

Juvenile scoliosis can begin from several factors, including congenital abnormalities, neuromuscular disorders, and idiopathic causes. Congenital scoliosis is present at birth and is caused by abnormalities in the development of the spine. Neuromuscular scoliosis is caused by disorders such as cerebral palsy, muscular dystrophy, and spinal cord injuries. Idiopathic scoliosis, which is the most common type, has no known cause.

There are three main types of idiopathic juvenile scoliosis: infantile, juvenile, and adolescent. Infantile scoliosis occurs in children under three years old, while juvenile scoliosis occurs in children between the ages of three and nine. Adolescent scoliosis occurs in children between the ages of 10 and 18 and is the most common type of scoliosis.

Symptoms of a Curved Spine

The symptoms of juvenile scoliosis can vary depending on the severity of the curve in the spine. Mild cases may not cause any symptoms, while more severe cases can cause back pain, uneven shoulders or hips, difficulty breathing, and fatigue. Children with scoliosis may also have difficulty standing up straight and may appear to lean to one side.

Diagnosis of Juvenile Scoliosis

The diagnosis of juvenile scoliosis is typically made through a physical examination, X-rays, and other imaging tests. The physical examination will include a visual inspection of the spine, as well as a check for any asymmetry in the shoulders, hips, or ribcage. X-rays and other imaging tests can provide a more detailed view of the spine and the extent of the curvature.

QUESTIONS AND ANSWERS

What is juvenile scoliosis, and what causes it?

Juvenile scoliosis refers to a spinal condition where the spine curves to the side, usually in an “S” or “C” shape. Doctors and scientists do not know the exact cause of juvenile scoliosis, but some believe genetic factors play a part. Other potential causes may include congenital spine abnormalities, neuromuscular conditions, or certain syndromes. Early detection and diagnosis help to determine the underlying cause and develop an appropriate treatment plan.

What are the signs and symptoms of juvenile scoliosis?

Common signs and symptoms of juvenile scoliosis may include:

Uneven shoulder or hip levels.
An asymmetrical appearance of the back when bending forward.
Uneven gaps between the arms and torso when standing straight.
Back pain or discomfort, particularly during periods of rapid growth.
Clothes not fitting properly or hanging unevenly.
In some cases, doctors can see the spinal curvature with a visible examination.

How do doctors treat juvenile scoliosis?

Treatment for juvenile scoliosis depends on the severity of the curvature, the child’s age, and the potential for further progression. Treatment options may include:

Observation: In mild cases, the doctor may choose to monitor the curvature over time without immediate intervention.
Bracing: For moderate scoliosis, a brace may help prevent the curve from worsening as the child continues to grow.
Physical therapy and exercises: These can help improve posture, core strength, and overall back health.
Surgery: Severe cases of juvenile scoliosis may require surgical intervention to correct the spinal curvature and fuse the affected vertebrae.
Ongoing monitoring: Regular follow-up appointments are essential to track the progression of the condition and make any necessary adjustments to the treatment plan.

It’s important for parents and caregivers to consult with a pediatric orthopedic specialist or scoliosis expert to determine the most appropriate treatment approach for a child with juvenile scoliosis. Early intervention can help manage the condition and reduce the risk of complications associated with severe curvature.

The Medical City Children’s Orthopedics and Spine Specialist doctors are experts in treating children with Scoliosis. We have decades of experience and urge parents to bring their children in for an examination.

The Curvature of the Spine Treatments

Juvenile scoliosis, which is often referred to as pediatric scoliosis or early onset scoliosis refers to a spinal deformity that affects children between the ages of 4 and 10. It is characterized by an abnormal sideways curvature of the spine. Early diagnosis and appropriate treatment are essential to manage this condition effectively. This comprehensive report outlines the various treatment options for children with juvenile scoliosis, considering factors like the severity of the curvature, the child’s age, and the potential for progression.

Conservative Treatment Options:

Observation:

In mild cases of juvenile scoliosis, observation is often the initial approach.
Regular monitoring through clinical examinations and X-rays helps determine whether the curve is stable or progressing.
If the curvature remains mild and doesn’t worsen, treatments will not begin.

Physical Therapy and Exercises:

Physical therapy can help improve muscle strength, posture, and overall spinal health.
Targeted exercises can enhance core stability and doctors may recommend them to alleviate discomfort and prevent further curvature progression.

Bracing

When the curvature is moderate and there is potential for progression, doctors will recommend bracing.
Orthotic braces are custom-designed to fit the child’s body and are worn for a specific number of hours each day to help control and limit the progression of the curve.
Compliance and regular follow-up are crucial for the success of bracing.

Surgical Treatment:

Surgery is considered for children with severe scoliosis (curves exceeding 45-50 degrees) or for those with rapidly progressing curves.
If the curvature is affecting lung or heart function, surgical intervention is often necessary to prevent complications.

Surgical Procedures:

Spinal fusion is the most common surgical procedure for juvenile scoliosis. During this operation, the surgeon fuses together the affected vertebrae using rods, screws, and bone grafts to correct the curvature.
The surgical approach and technique may vary depending on the specific case and the surgeon’s preferences.
In some cases, growing rod systems or magnetically controlled devices are used for lengthening the spine as the child grows.
Newer non-evasive treatments like the Tether seem far superior to other methods that treat scoliosis in children.

After Surgery

Following surgery, children may require a period of rehabilitation and physical therapy to regain strength and mobility.
Long-term follow-up is necessary to monitor spinal health and the development of adjacent segment problems.

Ongoing Monitoring:

Regardless of the treatment chosen, ongoing monitoring is crucial for children with juvenile scoliosis.
Regular clinical evaluations and X-rays help track the progression of the condition and assess the effectiveness of treatment.

Future Directions:

Research into non-surgical treatment options and the development of less invasive surgical techniques continues to advance.
Personalized treatment plans and the use of modern technology, such as 3D imaging and advanced braces, are becoming more prevalent in scoliosis care.

The treatment of children with juvenile scoliosis is a complex and evolving field. Additionally, the choice of treatment depends on the severity of the curvature, the child’s age, and the potential for progression. With early diagnosis, a comprehensive approach to care, and ongoing monitoring, many children with juvenile scoliosis can achieve positive outcomes and maintain good spinal health as they grow into adulthood. Therefore, healthcare providers, parents, and caregivers need to work collaboratively to determine the most appropriate treatment plan for each child, ensuring the best possible quality of life and spinal health.

The treatment for juvenile scoliosis can vary depending on the severity of the condition. Mild cases may not require any treatment, while more severe cases may require surgery. Non-surgical treatments may include observation, bracing, and physical therapy. Observation involves monitoring the progression of the condition over time, while bracing involves wearing a special device to help straighten the spine. Physical therapy can help improve mobility and flexibility, as well as reduce pain.

Prevention Measures for Juvenile Scoliosis

There are several prevention measures that parents can take to reduce the risk of developing juvenile scoliosis. Maintaining good posture and exercising regularly can help strengthen the muscles in the back and reduce the risk of developing scoliosis. Furthermore, eating a healthy diet that is rich in calcium and other nutrients can also help promote healthy bone growth.

The recovery time from juvenile scoliosis can vary depending on the severity of the condition and the type of treatment that is required. For instance, non-surgical treatments may not require any recovery time, while surgical treatments may require several weeks or months of recovery time. During the recovery period, it is important to follow the doctor’s instructions and avoid any activities that could put stress on the spine.

In conclusion, juvenile scoliosis is a condition that can affect children and adolescents, causing discomfort, pain, and other issues. There are various causes and types of juvenile Scoliosis and we invite parents to bring their children to us for consultation and treatment. When it comes to expertise, we pride ourselves in being among the world’s best doctors for treating children and adolescents with Scoliosis.

Let’s Give Your Child a Bright Future

With today’s technology and medical advancements, treating your child with Pediatric scoliosis can lead to a very successful life for the child. Fortunately, new treatments can help to manage and correct the curve in the spine. Through your support, coupled with the dedication of our scoliosis experts and specialists, we will help your child get on the road to leading a happy life.

The pediatric scoliosis treatment team at the Southwest Scoliosis and Spine Institute is available to ensure your child’s continued health. Our doctors stand ready to speak with you about the many ways to treat scoliosis in children. So, call us today at (469) 202-4490 to schedule an appointment.

Contact Us to Schedule an Appointment

We consider the future growth of each patient as an important component of the treatment plan. Our approach helps children experience the least disruption to their daily routine. As doctors, we understand that children need sports, games, and fun things. So, please get in touch with us today to learn more about your child’s scoliosis and to know the treatment options that will improve the child’s quality of life.

With today’s technology and medical advancements, treating your child with Pediatric scoliosis can lead to a very successful life for the child. Fortunately, new treatments can help to manage and correct the curve in the spine. Through your support, coupled with the dedication of our scoliosis experts and specialists, we will help your child get on the road to leading a happy life.

Finally, the pediatric scoliosis treatment team at the Southwest Scoliosis and Spine Institute with offices in Arlington, Dallas, Flower Mound, Frisco, and McKinney, TX is available to ensure your child’s continued health. Our doctors stand ready to speak with you about the many ways to treat scoliosis in children. So, call us today at (469) 202-4490 to schedule an appointment.

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Footnote:

Scoliosis Institute: Pediatric Scoliosis

Call 214-556-0590 to make an appointment.

Comprehensive services for children from birth through adolescence at five convenient locations: Arlington, Dallas, Flower Mound, Frisco and McKinney.